(19)
(11)EP 2 838 442 B1

(12)EUROPEAN PATENT SPECIFICATION

(45)Mention of the grant of the patent:
06.05.2020 Bulletin 2020/19

(21)Application number: 13712424.4

(22)Date of filing:  08.03.2013
(51)Int. Cl.: 
A61B 17/12  (2006.01)
(86)International application number:
PCT/US2013/029966
(87)International publication number:
WO 2013/158240 (24.10.2013 Gazette  2013/43)

(54)

SECUREMENT STRUCTURE FOR JOINING MEDICAL DEVICE PARTS

BEFESTIGUNGSSTRUKTUR ZUM VERBINDEN VON TEILEN MEDIZINISCHER VORRICHTUNGEN

STRUCTURE DE FIXATION DESTINÉE À RELIER DES PIÈCES DE DISPOSITIFS MÉDICAUX


(84)Designated Contracting States:
AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

(30)Priority: 16.04.2012 US 201261624696 P

(43)Date of publication of application:
25.02.2015 Bulletin 2015/09

(73)Proprietor: Boston Scientific Scimed, Inc.
Maple Grove, MN 55311-1566 (US)

(72)Inventors:
  • ISAACSON, Brad M.
    Lancaster, Massachusetts 01523 (US)
  • CARRILLO, Jr., Oscar R.
    Attleboro, Massachusetts 02703 (US)
  • ROMANO, Jason
    Wakefield, Rhode Island 02879 (US)

(74)Representative: Vossius & Partner Patentanwälte Rechtsanwälte mbB 
Siebertstrasse 3
81675 München
81675 München (DE)


(56)References cited: : 
AU-A- 2 391 970
US-A1- 2008 255 412
DE-A1-102010 028 049
  
      
    Note: Within nine months from the publication of the mention of the grant of the European patent, any person may give notice to the European Patent Office of opposition to the European patent granted. Notice of opposition shall be filed in a written reasoned statement. It shall not be deemed to have been filed until the opposition fee has been paid. (Art. 99(1) European Patent Convention).


    Description

    TECHNICAL FIELD



    [0001] The invention relates to structures for joining parts together. In some embodiments, the invention relates to a securement structure for joining a ligation banding cap to an endoscope or the like.

    BACKGROUND OF THE INVENTION



    [0002] Various medical procedures involve the use of medical devices that are joined together. For example, certain medical procedures involve the attachment of devices to the end of an endoscope or the like.

    [0003] One example of a medical procedure that can involve the use of an endoscope is a ligation procedure. Ligation is a medical procedure whereby a physician ties off or mechanically constricts a piece of body tissue with a ligature such as a suture, clip or band. In certain procedures, the purpose of ligation may be to impede or obstruct the flow of blood, fluids and/or other bodily materials through the tissue. For example, a physician can remove target tissue by ligating it to obstruct circulation through the target tissue, thereby causing the tissue to die and slough off. The purpose of ligation may also be to hold tissue to be cauterized or resected, as in an endoscopic mucosal resection (EMR) procedure.

    [0004] For ligating tissue inside a body cavity, orifice or lumen, physicians often use an endoscope to access the target tissue and ligate it. In one such form of endoscopic ligation, the physician attaches a ligation banding cap to the end of an endoscope. One or a plurality of ligation bands are stretched around the ligation banding cap and can be deployed by the physician. The physician uses the endoscope to position each stretched ligation band over the target tissue and then releases the band onto the tissue so that the band contracts and catches the tissue. The inward pressure of the ligation band constricts the target tissue.

    [0005] Ligating instruments have been the subject of a number of patents and patent applications, including U.S. Patent No. 5,259,366 to Reydel, et al.; U.S. Patent No. 5,269,789 to Chin, et al.; U.S. Patent No. 5,356,416 to Chu, et al.; U.S. Patent No. 5,398,844 to Zaslavsky, et al.; U.S. Patent No. 5,853,416 to Tolkoff; U.S. Patent No. 5,857,585 to Tolkoff, et al.; U.S. Patent No. 5,913,865 to Fortier, et al.; U.S. Patent No. 5,968,056 to Chu, et al., U.S. Patent No. 6,235,040 to Chu, et al.; U.S. Patent No. RE 36,629 to Zaslavsky, et al., and U.S. Patent Application Publication No. 2008/0091218 to Richardson.

    [0006] In certain previous ligating instruments, the ligation banding cap is designed for use with endoscopes of a particular size. The ligation banding cap assembly includes an adapter for fitting on the end of the endoscope. Generally, however, such prior ligation banding cap assemblies were not suitable for fitting on a wide range of endoscope sizes.

    [0007] There remains a need for improving the attachment together of medical devices. In some instances, prior means for joining medical devices together has had the potential to lead to problems such as misalignment, instability, jarring, inadequate sealing, poor suction, poor visualization, separation of parts and/or other issues arising from a poor connection. The potential for these problems is exacerbated when parts of different sizes are joined together. There remains a need for facilitating the joining of different-sized parts together while avoiding or minimizing these potential problems.

    [0008] US 2008/0255412 A1 relates to an endoscopic assembly comprising a connector for connecting a barrel about an endoscope, the connector having a scope portion and a tip portion, the scope portion having a receiving end through which the endoscope is disposed. First and second threaded portions are configured to cooperate with each other to tighten the connection of a barrel about the endoscope.

    SUMMARY OF THE INVENTION



    [0009] The invention is defined in independent claim 1 and certain optional features of the present invention are defined in the dependent claims. The present disclosure relates to the use of a securement structure that is positioned inside of a channel of a first medical device, wherein a second medical device is received within the channel, and the securement structure is compressed between the first and second medical devices to facilitate securement of the first medical device to the second medical device.

    [0010] In accordance with some embodiments, an adapter is provided for joining a first medical device to a second medical device. The adapter comprises a securement structure comprising one or more resilient securement projections positionable inside the channel of the first medical device. The securement structure is adapted to be compressed between the second medical device and a mounting structure of the first medical device when the second medical device is received within the channel of the first medical device. The resilient securement projections may comprise one or more resilient lobes, rings, ridges, domes, bumps, wedges and/or any other suitable projections.

    [0011] In accordance with other embodiments, a cap assembly comprises a cap and a securement structure. The cap comprises a mounting structure defining a channel, the mounting structure at least partially surrounding the channel. The securement structure comprises one or more resilient securement projections located inside the channel of the cap, adjacent an inner surface of the mounting structure. The securement structure is adapted to be compressed between an outer surface of an elongated medical device and the inner surface of the mounting structure of the cap when the elongated medical device is received within the channel of the cap. The elongated medical device may be an endoscope. The cap assembly may be a ligation banding cap assembly.

    [0012] The cap may further comprise one or more grooves in the inner surface of the mounting structure, the one or more grooves adapted to receive the one or more resilient securement projections. The cap may further comprise one or more holes in the mounting structure, the one or more holes adapted to receive the one or more resilient securement projections. The securement structure may be part of an adapter that is configured to be received around the elongated medical device.

    [0013] In accordance with other embodiments, a method of securing a cap assembly to an end of an elongated medical device is provided. The method comprises positioning the cap assembly with respect to the elongated medical device and placing the cap assembly on the end of the elongated medical device. When the cap assembly is placed on the end of the elongated medical device, the securement structure is compressed between an outer surface of the elongated medical device and the inner surface of the mounting structure of the cap, such that the securement structure secures the cap to the end of the elongated medical device.

    BRIEF DESCRIPTION OF THE DRAWINGS



    [0014] 

    FIG. 1A shows an example of a prior art ligation banding cap assembly.

    FIG. 1B shows the ligation banding cap assembly of FIG. 1A mounted on the end of an endoscope.

    FIG. 2A shows an example of one embodiment of a ligation banding cap assembly with a resilient securement structure inside the channel of the cap.

    FIG. 2B shows the ligation banding cap assembly of FIG. 2A mounted on the end of an endoscope.

    FIG. 3A shows a cross-sectional view of a ligation banding cap assembly with a resilient securement structure inside the channel of the cap.

    FIG. 3B shows the ligation banding cap assembly of FIG. 3A mounted on the end of an endoscope.

    FIG. 4A shows an example of another embodiment of a ligation banding cap assembly with a resilient securement structure inside the channel of the cap.

    FIG. 4B shows the ligation banding cap assembly of FIG. 4A mounted on the end of an endoscope.

    FIG. 5A shows an example of another embodiment of a ligation banding cap assembly with a resilient securement structure inside the channel of the cap.

    FIG. 5B shows the ligation banding cap assembly of FIG. 5A mounted on the end of an endoscope.


    DETAILED DESCRIPTION



    [0015] FIG. 1A shows a side cross-sectional view of a prior art ligation banding cap assembly 100. The ligation banding cap assembly 100 includes a cap 110 and an adapter 130. The cap 110 is made of a relatively rigid polymeric material such as polycarbonate. The adapter 130 is made of a resilient elastomeric material.

    [0016] The cap 110 comprises a proximal portion or endoscopic mounting structure 111 and a distal portion 112. A channel 113 extends through the length of the cap 110, through both the mounting structure 111 and the distal portion 112. The channel 113 comprises a proximal channel portion 114 and a distal channel portion 115. An abutment surface 116 defines a stop for advancement of an endoscope to be placed within proximal channel portion 114.

    [0017] The mounting structure 111 comprises an inner surface 117 and an outer surface 118. A lip 119 projects from the outer surface 118 and serves to help secure the adapter 130 on the cap 110.

    [0018] The adapter 130 is adapted to be joined to the cap 110 as shown. The adapter 130 comprises a proximal portion 131 and a distal portion 132. A channel 133 extends through the length of the adapter 130, through both the proximal portion 131 and the distal portion 132.

    [0019] The prior art ligation banding cap assembly 100 is adapted for placement on an endoscope that has a diameter that is substantially the same as or only slightly less than the inner diameter of the mounting structure 111 of the cap 110. In this way, when the ligation banding cap assembly 100 is placed on the distal end of such an endoscope, the cap 110 fits snugly on the endoscope. In addition, the proximal portion 131 of the adapter 130 is stretched so that its inner diameter can accommodate the endoscope. The tendency of the resilient material of the adapter 130 to want to return to its resting shape and size creates a snug fit of the proximal portion 131 of the adapter 130 around the outside surface of the endoscope.

    [0020] The prior art ligation banding cap assembly 100 is not well-suited, however, to be placed on an endoscope that has a diameter that is substantially less than the inner diameter of the mounting structure 111 of the cap 110. This is illustrated in FIG. 1B. FIG. 1B shows a side cross-sectional view of the ligation banding cap assembly 100 of FIG. 1A mounted on an endoscope 10 that has a diameter that is substantially less than the inner diameter of the mounting structure 111 of the cap 110. As can be seen in FIG. 1B, this difference in diameter leads to a gap G, and the fit between the cap 110 and the endoscope 10 is not snug. This poor fit has had the potential to lead to problems such as misalignment between the cap and the endoscope, instability of the cap, jarring of the cap during positioning, inadequate sealing between the cap and the endoscope, poor transfer of suction from the endoscope through the cap, poor visualization due to relative movement of parts, separation of the cap and endoscope, incorrect or incomplete deployment of a band, inadequate medical treatment and/or other issues arising from a poor connection. In addition, such a design requires different sizes of cap assemblies for different-sized endoscopes, which can increase design and manufacturing costs, can necessitate stocking of multiple different parts, can lead to a mix-up of parts, and can create inventory control problems. For example, because different sizes can be used at different rates, a hospital may run out of one size more quickly than others, and a particular size may be unavailable when needed.

    [0021] FIG. 2A shows a side cross-sectional view of an example of one embodiment of a ligation banding cap assembly with a resilient securement structure inside the channel of the cap. The ligation banding cap assembly 200 includes a cap 210 and an adapter 230. The cap 210 is made of a relatively rigid polymeric material. The adapter 230 is made of a resilient elastomeric material.

    [0022] The cap 210 comprises a proximal portion or endoscopic mounting structure 211 and a distal portion 212. A channel 213 extends through the length of the cap 210, through both the mounting structure 211 and the distal portion 212. The channel 213 comprises a proximal channel portion 214 and a distal channel portion 215. An abutment surface 216 defines a stop for advancement of an endoscope to be placed within proximal channel portion 214. The mounting structure 211 comprises an inner surface 217 and an outer surface 218.

    [0023] The adapter 230 is adapted to be joined to the cap 210 as shown. The adapter 230 comprises a proximal portion 231 and a distal portion 232. A channel 233 extends through the length of the adapter 230, through both the proximal portion 231 and the distal portion 232.

    [0024] The distal portion 232 of the adapter 230 differs significantly from the distal portion 131 of the adapter 130. The distal portion 232 of the adapter 230 comprises a securement structure having one or more securement projections. In the example of FIG. 2A, the securement projections are in the form of resilient lobes 242. The resilient lobes 242 extend distally from the proximal portion 231 of the adapter 230 and are positioned in the proximal channel portion 214 of channel 213, along the inner diameter of the mounting structure 211. As can be seen in FIG. 2A, the resilient lobes 242 are adjacent to the inner surface 217 of the mounting structure 211.

    [0025] The resilient securement structure that is positioned, at least in part, inside the channel of the mounting structure of the cap allows the cap assembly to fit securely to endoscopes of various sizes. At rest, the securement structure defines an inner diameter that is substantially smaller than the inner diameter of the mounting structure. Accordingly, when the cap assembly is assembled to an endoscope with a relatively small diameter, the endoscope will contact and compress the securement structure to create a snug fit. That is, when the cap assembly is placed on the end of the endoscope, the securement structure is compressed between an outer surface of the endoscope and the inner surface of the mounting structure of the cap. The compression of the resilient elastomeric material of the securement structure from its resting size and shape creates forces against the endoscope and cap that secure the cap to the endoscope.

    [0026] FIG. 2B shows a side cross-sectional view of the ligation banding cap assembly 200 of FIG. 2A mounted on an endoscope 10 that has a diameter that is substantially less than the inner diameter of the mounting structure 211 of the cap 210. As can be seen in FIG. 2B, this difference in diameter leads to a gap G. However, the securement structure comprising the resilient lobes 242 is positioned in that gap G. Because of the securement structure positioned inside the mounting structure 211 of the cap 210, the fit between the cap 210 and the endoscope 10 is snug.

    [0027] It will be appreciated that the use of a securement structure positioned inside the mounting structure of a cap as described herein can overcome the problems associated with a poor fit as described above. In addition, the design enables the use of a single size of cap assembly for different-sized endoscopes. Thus, the design shown in FIGS. 2A and 2B can accommodate a relatively small-diameter endoscope as shown, as well as larger ones, including endoscopes having a diameter substantially the same or slightly less than the diameter of the mounting structure. With the larger endoscopes, the securement structure is more compressed, thereby yielding to accommodate the larger size. Such a design has advantages in reducing design and manufacturing costs, avoiding the need to stock multiple different parts, avoiding a potential mix-up of parts, and avoiding the above-described inventory control problems.

    [0028] FIG. 3A shows a cross-sectional view of a ligation banding cap assembly with a resilient securement structure inside the channel of the cap. The cross-section is taken through the mounting structure 311 of the cap, where the resilient lobes 342 of the securement structure are positioned. As can be seen in FIG. 3A, each of the resilient lobes 342 can be a discrete part that projects from the proximal portion of the adapter. In alternate embodiments, the adapter material can form a complete tube inside the channel of the mounting structure, and the resilient projections such as lobes can project inwardly from the tube. The resilient projections can alternatively be rings, ridges, domes, bumps, wedges and/or any other suitable structures that project inwardly into the channel of the mounting structure in order to define a smaller diameter so as to accommodate smaller endoscopes or other devices. The resilient projections, e.g., the lobes, rings, ridges, domes, bumps, wedges and/or other suitable structures, can be tapered from the proximal end (into which the endoscope or other device is inserted) to the distal end, which can help facilitate attachment to the endoscope or other device. In one example, the lobes may be long fingers that fold, bend or buckle, in addition to being compressed, when the attachment is made to the endoscope or other device, thereby facilitating the interference fit.

    [0029] In FIG. 3A, eight projections are shown. More or fewer projections may be used. In one example, the projection can be a single raised ring that extends around the channel. In another example, the projection can be a single helical ridge that extends around the channel. The securement structure can comprise one or a plurality of lobes, rings, ridges, domes, bumps, wedges and/or any other suitable projections.

    [0030] FIG. 3B shows the ligation banding cap assembly of FIG. 3A mounted on the end of an endoscope 10. As can be seen in FIG. 3B, when the cap assembly is placed on the end of the endoscope 10, the resilient lobes 342 of the securement structure are compressed between an outer surface of the endoscope 10 and the inner surface of the mounting structure 311 of the cap. In this manner, the securement structure secures the cap to the end of the endoscope.

    [0031] FIG. 4A shows a side cross-sectional view of another example of an embodiment of a ligation banding cap assembly with a resilient securement structure inside the channel of the cap. The ligation banding cap assembly 400 includes a cap 410 and an adapter 430. The cap 410 is made of a relatively rigid polymeric material. The adapter 430 is made of a resilient elastomeric material.

    [0032] The ligation banding cap assembly 400 is similar to the ligation banding cap assembly 300 except that the cap 410 includes a plurality of grooves 421 along its inner surface. The cap 410 may have a groove for each resilient lobe 442. Each resilient lobe 442 is designed in such a way that when it is compressed, part of the material of the resilient lobe 442 moves into the corresponding groove 421. This can help relieve the pressure when larger endoscopes are used.

    [0033] FIG. 4B shows a side cross-sectional view of the ligation banding cap assembly 400 of FIG. 4A mounted on an endoscope 10. As can be seen in FIG. 4B, when the cap assembly 400 is placed on the end of the endoscope 10, the securement structure is compressed between an outer surface of the endoscope 10 and the inner surface of the mounting structure 411 of the cap 410. Part of the material of each resilient lobe 442 moves into its corresponding groove 421. This can help facilitate a snug and secure fit between the cap 410 and the endoscope 10.

    [0034] FIG. 5A shows a side cross-sectional view of another example of an embodiment of a ligation banding cap assembly with a resilient securement structure inside the channel of the cap. The ligation banding cap assembly 500 includes a cap 510 and an adapter 530. The cap 510 is made of a relatively rigid polymeric material. The adapter 530 is made of a resilient elastomeric material.

    [0035] The ligation banding cap assembly 500 is similar in some respects to the ligation banding cap assembly 400. The cap 510 includes a plurality of holes 522 in the mounting structure 511. The distal portion 532 of the adapter 530 includes an outer portion 534 that extends to an area over the holes 522. The securement structure comprises a series of resilient domes 543, with one dome adjacent each hole 522. The material of the adapter 530 extends through the holes 522 to connect the outer portion 534 of the adapter to the resilient domes 543. The holes 522 may be slightly larger than the material of the adapter extending through the holes 522. In this way, when the resilient domes 543 are compressed, part of the material of the resilient domes 543 can move into the holes 522.

    [0036] In the cap assembly 500, the distal portion 532 of the adapter 530 also includes a resilient ring 544 positioned inside the channel of the mounting structure 511. Thus, in this embodiment, the securement structure inside the channel of the mounting structure 511 comprises the resilient domes 543 and the resilient ring 544.

    [0037] FIG. 5B shows a side cross-sectional view of the ligation banding cap assembly 500 of FIG. 5A mounted on an endoscope 10. As can be seen in FIG. 5B, when the cap assembly 500 is placed on the end of the endoscope 10, the securement structure is compressed between an outer surface of the endoscope 10 and the inner surface of the mounting structure 511 of the cap 510. That is, the resilient domes 543 and the resilient ring 544 are compressed, thereby facilitating a snug and secure fit between the cap 510 and the endoscope 10.

    [0038] As an alternative to holes 522 as shown, the cap or first medical device may include cut-outs, shapes, slots, wells, etc., through which the resilient material of the securement structure may extend, connect or protrude. As with the material through the holes 522, this can create a stronger connection between the resilient material of the securement structure and the more rigid material of the cap or first medical device.

    [0039] It will be appreciated that a ligation banding cap assembly according to embodiments described above may accommodate a wide range of sizes of endoscopes. For example, a single ligation banding cap assembly can accommodate endoscopes having diameters from 8.8 mm to 11.6 mm. Other sizes can be made to accommodate other size ranges.

    [0040] Embodiments other than those illustrated herein are of course possible. A securement structure as described also may be utilized for joining other medical devices together, other than a ligation banding cap to an endoscope. For example, other tools or devices can be mounted to other elongated devices, such as, but not limited to, catheters, other tubes and the like.

    [0041] The securement structure, or the resilient securement projections, may be manufactured of any suitable resilient material that allows the resilient securement projections to function as described herein. Accordingly, suitable elastomers, foams or other materials may be used. The securement structure, or the resilient securement projections, may be coated so as to facilitate securement and sealing to the endoscope or other device (e.g., by increasing friction or tackiness) and/or to facilitate ease of attachment to the endoscope or other device (e.g., by providing lubrication or reducing friction). The securement structure, or the resilient securement projections, may have surface modifications, such as roughening, bumps, ridges, grooves, etc., so as to facilitate securement and sealing to the endoscope or other device and/or to facilitate ease of attachment to the endoscope or other device (e.g., the lobes may be roughened or provided with bumps in order to improve the connection). The securement structure, or the resilient securement projections, may be made of layers. For example, in one embodiment, the resilient securement projections may have an outer layer to provide tackiness and sealing to the endoscope or other device and an inner layer that provides suitable compressibility to create the secure attachment to the endoscope or other device. The first medical device or cap could be formed as one integral unit with the securement structure or resilient securement projections, for example with the first medical device or cap comprising a more rigid area of the unit and with the resilient securement projections comprising a more resilient area of the unit. The securement structure, or the resilient securement projections, may comprise one or more materials that swell upon contact with fluids, such as saline and/or body fluids. In this manner, the medical devices may be positioned together and then the fluid can be introduced to swell the resilient securement projections and create or improve the connection/seal.

    [0042] The foregoing embodiments are merely examples of embodiments within the scope of the invention. Other embodiments are possible that incorporate one or more of the features and/or advantages of the above-described embodiments. This invention thus embraces other embodiments within the scope of the claims.


    Claims

    1. An adapter (230, 430, 530) for joining a cap (210, 410, 510) to an endoscope (10), wherein the cap (210, 410, 510) is adapted to be secured to an end of the endoscope (10) with the end of the endoscope (10) received within a channel (213) of the cap (210, 410, 510), the adapter (230, 430, 530) comprising:

    a proximal portion (231), a distal portion (232, 532), and a channel (233) for receiving the endoscope (10) therein; and

    a securement structure that secures the cap (210) to the end of the endoscope (10), wherein the securement structure is adapted to be compressed between the endoscope (10) and an endoscopic mounting structure (211, 311, 411, 511) of the cap (210) when the endoscope (10) is received within the channel (213) of the cap (210, 410, 510);

    characterized in that

    the securement structure comprises a plurality of resilient securement projections positionable inside the channel (213) of the cap (210, 410, 510), wherein the resilient securement projections extend distally from the proximal portion (231) of the adapter (230, 430, 530).


     
    2. The adapter of claim 1, wherein the resilient securement projections are configured to be received in a plurality of holes (522) provided in the endoscopic mounting structure (511).
     
    3. The adapter of claim 1,

    wherein the resilient securement projections comprise resilient lobes (242, 342, 442), ridges or wedges; or

    wherein the resilient securement projections comprise resilient domes (543) or bumps.


     
    4. The adapter of claim 1, wherein the resilient securement projections comprise resilient rings.
     
    5. The adapter of claim 1, wherein the resilient securement projections are resilient lobes (342), wherein each of the resilient lobes (342) is a discrete part that projects from the proximal portion of the adapter.
     
    6. The adapter of claim 1, wherein the adapter material forms a complete tube inside the channel of the endoscopic mounting structure, and the resilient securement projections, such as lobes, project inwardly from the tube.
     
    7. The adapter of any of the preceding claims, wherein the adapter (230, 430, 530) is made of resilient elastomeric material.
     
    8. The adapter of any of the preceding claims, wherein the proximal portion (231) of the adapter (230, 430, 530) is configured to create a snug fit around an outside surface of the endoscope (10).
     
    9. A cap assembly (200, 400, 500) adapted to be secured to an end of an elongated medical device, the cap assembly (200, 400, 500) comprising:

    a cap (210, 410, 510) comprising an endoscopic mounting structure (211, 311, 411, 511) defining a channel (213), the endoscopic mounting structure (211, 311, 411, 511) at least partially surrounding the channel (213); and

    an adapter (230, 430, 530) as claimed in any one of claims 1 to 8.


     
    10. The cap assembly of claim 9, wherein the cap assembly (200, 400, 500) is a ligation banding cap assembly.
     
    11. The cap assembly of claim 9 or 10, wherein the cap (410) further comprises one or more grooves (421) in the inner surface of the endoscopic mounting structure (411), the one or more grooves (421) adapted to receive the plurality of resilient securement projections.
     
    12. The cap assembly of claim 9 or 10, wherein the cap (510) further comprises one or more holes (522) in the endoscopic mounting structure (511), the one or more holes (522) adapted to receive the plurality of resilient securement projections.
     
    13. The cap assembly of claim 12, wherein the distal portion (532) of the adapter (530) includes an outer portion (534) that extends to an area over the holes (522), preferably wherein the securement projections are a plurality of resilient domes (543) with one dome (543) adjacent each hole (522), wherein the material of the adapter (530) extends through the holes (522) to connect the outer portion (534) to the resilient domes (543).
     
    14. The cap assembly of any of claims 9 to 13, wherein the adapter (230, 430, 530) is configured to be received around the endoscope (10).
     
    15. The cap assembly of any of claims 9 to 14, wherein the securement structure comprises a material more resilient than the endoscopic mounting structure (211, 311, 411, 511) of the cap (210, 410, 510) against which the securement structure is adapted to be compressed.
     


    Ansprüche

    1. Adapter (230, 430, 530) zum Verbinden einer Kappe (210, 410, 510) mit einem Endoskop (10), wobei die Kappe (210, 410, 510) dazu eingerichtet ist, an einem Ende des Endoskops (10) befestigt zu werden, wobei das Ende des Endoskops (10) in einem Kanal (213) der Kappe (210, 410, 510) aufgenommen wird, wobei der Adapter (230, 430, 530) aufweist:

    einen proximalen Abschnitt (231), einen distalen Abschnitt (232, 532) und einen Kanal (233) zum Aufnehmen des Endoskops (10); und

    eine Befestigungsstruktur, die die Kappe (210) am Ende des Endoskops (10) befestigt, wobei die Befestigungsstruktur dazu eingerichtet ist, zwischen dem Endoskop (10) und einer Endoskopmontagestruktur (211, 311, 411, 511) der Kappe (210) zusammengedrückt zu werden, wenn das Endoskop (10) innerhalb des Kanals (213) der Kappe (210, 410, 510) aufgenommen ist;

    dadurch gekennzeichnet, dass

    die Befestigungsstruktur mehrere elastische Befestigungsvorsprünge aufweist, die innerhalb des Kanals (213) der Kappe (210, 410, 510) positionierbar sind, wobei sich die elastischen Befestigungsvorsprünge von dem proximalen Abschnitt (231) des Adapters (230, 430, 530) distal erstrecken.


     
    2. Adapter nach Anspruch 1, wobei die elastischen Befestigungsvorsprünge dafür konfiguriert sind, in mehreren Löchern (522) aufgenommen zu werden, die in der Endoskopmontagestruktur (511) ausgebildet sind.
     
    3. Adapter nach Anspruch 1,

    wobei die elastischen Befestigungsvorsprünge elastische Lappen (242, 342, 442), Stege oder Keile aufweisen, oder

    wobei die elastischen Befestigungsvorsprünge elastische kuppelförmige Strukturen (543) oder Erhebungen aufweisen.


     
    4. Adapter nach Anspruch 1, wobei die elastischen Befestigungsvorsprünge elastische Ringe aufweisen.
     
    5. Adapter nach Anspruch 1, wobei die elastischen Befestigungsvorsprünge elastische Lappen (342) sind, wobei jeder der elastischen Lappen (342) ein diskreter Teil ist, der vom proximalen Abschnitt des Adapters hervorsteht.
     
    6. Adapter nach Anspruch 1, wobei das Adaptermaterial eine vollständige Röhre innerhalb des Kanals der Endoskopmontagestruktur bildet und die elastischen Befestigungsvorsprünge, wie beispielsweise Lappen, von der Röhre nach innen hervorstehen.
     
    7. Adapter nach einem der vorhergehenden Ansprüche, wobei der Adapter (230, 430, 530) aus einem elastischen Elastomermaterial hergestellt ist.
     
    8. Adapter nach einem der vorhergehenden Ansprüche, wobei der proximale Abschnitt (231) des Adapters (230, 430, 530) dafür konfiguriert ist, einen festen Sitz um eine Außenfläche des Endoskops (10) zu erzeugen.
     
    9. Kappenanordnung (200, 400, 500), die dazu eingerichtet ist, an einem Ende einer länglichen medizinischen Vorrichtung befestigt zu werden, wobei die Kappenanordnung (200, 400, 500) aufweist:

    eine Kappe (210, 410, 510) mit einer Endoskopmontagestruktur (211, 311, 411, 511), die einen Kanal (213) definiert, wobei die Endoskopmontagestruktur (211, 311, 411, 511) den Kanal (213) zumindest teilweise umgibt; und

    einen Adapter (230, 430, 530) nach einem der Ansprüche 1 bis 8.


     
    10. Kappenanordnung nach Anspruch 9, wobei die Kappenanordnung (200, 400, 500) eine Ligaturband-Kappenanordnung ist.
     
    11. Kappenanordnung nach Anspruch 9 oder 10, wobei die Kappe (410) ferner eine oder mehrere Nuten (421) in der Innenfläche der Endoskopmontagestruktur (411) aufweist, wobei die eine oder die mehreren Nuten (421) dazu eingerichtet sind, die mehreren elastischen Befestigungsvorsprünge aufzunehmen.
     
    12. Kappenanordnung nach Anspruch 9 oder 10, wobei die Kappe (510) ferner ein oder mehrere Löcher (522) in der Endoskopmontagestruktur (511) aufweist, wobei das eine oder die mehreren Löcher (522) dazu eingerichtet sind, die mehreren elastischen Befestigungsvorsprünge aufzunehmen.
     
    13. Kappenanordnung nach Anspruch 12, wobei der distale Abschnitt (532) des Adapters (530) einen äußeren Abschnitt (534) aufweist, der sich zu einem Bereich über den Löchern (522) erstreckt, wobei die Befestigungsvorsprünge vorzugsweise mehrere elastische kuppelförmige Strukturen (543) sind, wobei jedem Loch (522) jeweils eine kuppelförmige Struktur (543) benachbart ist, wobei sich das Material des Adapters (530) durch die Löcher (522) erstreckt, um den äußeren Abschnitt (534) mit den elastischen kuppelförmigen Strukturen (543) zu verbinden.
     
    14. Kappenanordnung nach einem der Ansprüche 9 bis 13, wobei der Adapter (230, 430, 530) dafür konfiguriert ist, um das Endoskop (10) herum aufgenommen zu werden.
     
    15. Kappenanordnung nach einem der Ansprüche 9 bis 14, wobei die Befestigungsstruktur ein Material aufweist, das elastischer ist als die Endoskopmontagestruktur (211, 311, 411, 511) der Kappe (210, 410, 510), gegen die die Befestigungsstruktur zusammengedrückt werden kann.
     


    Revendications

    1. Adaptateur (230, 430, 530) pour joindre un capuchon (210, 410, 510) à un endoscope (10), où le capuchon (210, 410, 510) est adapté pour être fixé à une extrémité de l'endoscope (10) avec l'extrémité de l'endoscope (10) reçue dans un canal (213) du capuchon (210, 410, 510), l'adaptateur (230, 430, 530) comprenant :

    une partie proximale (231), une partie distale (232, 532) et un canal (233) pour recevoir l'endoscope (10) à l'intérieur ; et

    une structure de fixation qui fixe le capuchon (210) à l'extrémité de l'endoscope (10), où la structure de fixation est adaptée pour être compressée entre l'endoscope (10) et une structure de montage endoscopique (211, 311, 411, 511) du capuchon (210) quand l'endoscope (10) est reçu dans le canal (213) du capuchon (210, 410, 510) ;

    caractérisé en ce que

    la structure de fixation comprend une pluralité de protubérances de fixation élastiques pouvant être positionnées à l'intérieur du canal (213) du capuchon (210, 410, 510), où les protubérances de fixation élastiques s'étendent distalement de la partie proximale (231) de l'adaptateur (230, 430, 530).


     
    2. Adaptateur selon la revendication 1, où les protubérances de fixation élastiques sont configurées pour être reçues dans une pluralité de trous (522) prévus dans la structure de montage endoscopique (511).
     
    3. Adaptateur selon la revendication 1, où les protubérances de fixation élastiques comprennent des lobes (242, 342, 442), nervures ou coins élastiques ; ou
    où les protubérances de fixation élastiques comprennent des dômes (543) ou bosses élastiques.
     
    4. Adaptateur selon la revendication 1, où les protubérances de fixation élastiques comprennent des anneaux élastiques.
     
    5. Adaptateur selon la revendication 1, où les protubérances de fixation élastiques sont des lobes élastiques (342), où chacun des lobes élastiques (342) est une partie discrète qui fait saillie de la partie proximale de l'adaptateur.
     
    6. Adaptateur selon la revendication 1, où la matière de l'adaptateur forme un tube complet à l'intérieur du canal de la structure de montage endoscopique, et les protubérances de fixation élastiques, comme des lobes, font saillie à l'intérieur depuis le tube.
     
    7. Adaptateur selon l'une quelconque des revendications précédentes, où l'adaptateur (230, 430, 530) est fait d'une matière élastomérique élastique.
     
    8. Adaptateur selon l'une quelconque des revendications précédentes, où la partie proximale (231) de l'adaptateur (230, 430, 530) est configurée pour créer un ajustage à frottement doux autour d'une surface externe de l'endoscope (10).
     
    9. Ensemble formant capuchon (200, 400, 500) adapté pour être fixé à une extrémité d'un dispositif médical allongé, l'ensemble formant capuchon (200, 400, 500) comprenant :

    un capuchon (210, 410, 510) comprenant une structure de montage endoscopique (211, 311, 411, 511) définissant un canal (213), la structure de montage endoscopique (211, 311, 411, 511) entourant au moins en partie le canal (213) ; et

    un adaptateur (230, 430, 530) selon l'une quelconque des revendications 1 à 8.


     
    10. Ensemble formant capuchon selon la revendication 9, où l'ensemble formant capuchon (200, 400, 500) est un ensemble formant capuchon à cerclage de ligature.
     
    11. Ensemble formant capuchon selon la revendication 9 ou 10, où le capuchon (410) comprend en outre une ou plusieurs rainures (421) dans la surface interne de la structure de montage endoscopique (411), les une ou plusieurs rainures (421) adaptées pour recevoir la pluralité de protubérances de fixation élastiques.
     
    12. Ensemble formant capuchon selon la revendication 9 ou 10, où le capuchon (510) comprend en outre un ou plusieurs trous (522) dans la structure de montage endoscopique (511), les un ou plusieurs trous (522) adaptés pour recevoir la pluralité de protubérances de fixation élastiques.
     
    13. Ensemble formant capuchon selon la revendication 12, où la partie distale (532) de l'adaptateur (530) inclut une partie externe (534) qui s'étend jusqu'à une zone au-dessus des trous (522), de préférence où les protubérances de fixation sont une pluralité de dômes élastiques (543) avec un dôme (543) adjacent à chaque trou (522), où la matière de l'adaptateur (530) s'étend à travers les trous (522) pour relier la partie externe (534) aux dômes élastiques (543).
     
    14. Ensemble formant capuchon selon l'une quelconque des revendications 9 à 13, où l'adaptateur (230, 430, 530) est configuré pour être reçu autour de l'endoscope (10).
     
    15. Ensemble formant capuchon selon l'une quelconque des revendications 9 à 14, où la structure de fixation comprend une matière plus élastique que la structure de montage endoscopique (211, 311, 411, 511) du capuchon (210, 410, 510) contre laquelle la structure de fixation est adaptée à être compressée.
     




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    REFERENCES CITED IN THE DESCRIPTION



    This list of references cited by the applicant is for the reader's convenience only. It does not form part of the European patent document. Even though great care has been taken in compiling the references, errors or omissions cannot be excluded and the EPO disclaims all liability in this regard.

    Patent documents cited in the description